Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN KOPSHO
NPI 1003655481
Specialist/Technologist - Athletic Trainer in Deer Park, WA

Q: What is Jordan Kopsho's NPI number?

The NPI number for Jordan Kopsho is 1003655481. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Q: What is Jordan Kopsho's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Kopsho was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2024

707 S PARK ST, DEER PARK, WA 99006(509) 276-8811 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jordan Kopsho NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN KOPSHO (NPI 1003655481) is an individual athletic trainer provider in Deer Park, Washington, licensed in Washington (ATHL.A1.70142566) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1003655481

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJORDAN KOPSHO

Location Address707 S PARK STDeer Park, WA 99006-7025

Mailing Address1675 Crab Apple CirWest Richland, WA 99353-5099

Phone(509) 276-8811

Sole ProprietorNo

Enumeration DateMay 23, 2024

Last NPPES UpdateJuly 27, 2026

NPPES CertifiedJuly 27, 2026

✔ NPI 1003655481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in WA · ATHL.A1.70142566

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

707 S PARK ST, Deer Park, WA 99006

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW S ROBERTS DPT

Physical Therapist